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Individual

JESSICA HELEN THACKRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2359 HY 105, CDSA OF THE BLUE RIDGE, BOONE, NC 28607
(828) 256-5391
(828) 265-5394
Mailing address
265 WATAUGA DR, BOONE, NC 28607-3853
(828) 773-1069

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002856
NC

Other

Enumeration date
03/19/2007
Last updated
12/16/2008
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